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Multicenter Extension Study of Oral Ozanimod in patients with Moderately to Severely Active Crohn’s Disease

Phase 1
Conditions
Therapeutic area: Diseases [C] - Digestive System Diseases [C06]
Moderately to Severely Active Crohn’s Disease
MedDRA version: 20.0Level: PTClassification code 10011401Term: Crohn's diseaseSystem Organ Class: 10017947 - Gastrointestinal disorders
Registration Number
EUCTR2017-004295-55-IT
Lead Sponsor
CELGENE INTERNATIONAL II SàR
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
1350
Inclusion Criteria

Subjects must satisfy the following criteria to be enrolled in the study:
1.Subjects who are not in clinical response or clinical remission after completing 12 weeks in the Induction Studies RPC01-3201 or RPC01-3202, subjects who experience relapse in the Maintenance Study RPC01-3203, subjects who complete the Maintenance Study RPC01-3203, subjects who complete at least 1 year of RPC01 2201, subjects who complete Study RPC01-1201, and subjects who complete a study of ozanimod for CD and meet the criteria for participation in the RPC01-3204 Study will have the opportunity to participate in this study.
2. Must be male or female subjects aged 18 to 75 years (at Pre-baseline), inclusive.
3.Subject must provide written informed consent prior to any study-related procedures, and have the ability to comply with the Table of Events.
4.Female subjects of childbearing potential:
Must agree to practice a highly effective method of contraception throughout the study until completion of the 75-day Safety Follow-Up Visit. Highly effective methods of contraception are those that alone or in combination result in a failure rate of a Pearl Index of less than 1% per year when used consistently and correctly. Acceptable methods of birth control in the study are the following:
•combined hormonal (containing oestrogen and progestogen) contraception, which may be oral, intravaginal, or transdermal
•progestogen-only hormonal contraception associated with inhibition of ovulation, which may be oral, injectable, or implantable
•placement of an intrauterine device (IUD)
•placement of an intrauterine hormone-releasing system (IUS)
•bilateral tubal occlusion
•vasectomised partner
•sexual abstinence
Male subjects:
Must agree to use a latex condom during sexual contact with women of childbearing potential while participating in the study until completion of the 75-day Safety Follow-Up Visit.
All subjects:
Periodic abstinence (calendar, symptothermal, post-ovulation methods), withdrawal (coitus interruptus), spermicides only, and lactational amenorrhoea method are not acceptable methods of contraception. Female condom and male condom should not be used together.
Are the trial subjects under 18? yes
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 1170
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 120

Exclusion Criteria

Exclusions Related to General Health:
1.Subject has any clinically relevant hepatic, neurological, pulmonary, ophthalmological, endocrine, psychiatric, or other major systemic disease making implementation of the protocol or interpretation of the study difficult or that would put the subject at risk by participating in the study
2.Subject is pregnant, lactating, or has a positive urine beta human chorionic gonadotropin (ß-hCG)
5.Subject has suspected or diagnosed intra-abdominal or perianal abscess that has not been appropriately treated
6.Subject has a history of uveitis (within the last year) or clinically confirmed diagnosis of macular edema
Exclusions Related to Medications:
7.Hypersensitivity to active ingredients or excipients of ozanimod
8.Subject has received any of the following therapies since the first dose of IP in the prior ozanimod study:
·treatment with a biologic agent
·treatment with an investigational agent other than ozanimod
·treatment with D-penicillamine, leflunomide, thalidomide, natalizumab or fingolimod
·treatment with lymphocyte-depleting therapies (eg, Campath®, anti-CD4, cladribine, rituximab, ocrelizumab, cyclophosphamide, mitoxantrone, total body irradiation, bone marrow transplantation, alemtuzumab, daclizumab)
·treatment with a live or live attenuated vaccine within 4 weeks prior to Day 1 of this study
9.Subject is currently receiving or requires initiation of any of the following therapies:
·treatment with corticosteroids at a dose that exceeds the prednisone equivalent of >40 mg
·treatment with immunomodulatory agents (eg, azathioprine, 6-MP, or methotrexate)
·chronic non-steroidal anti-inflammatory drug (NSAID) use (note: occasional use of NSAIDs and acetaminophen [eg, headache, arthritis, myalgias, or menstrual cramps] and aspirin up to 325 mg/day is permitted)
·treatment with Class Ia or Class III anti-arrhythmic drugs or treatment with 2 or more agents in combination known to prolong PR interval
·treatment with breast cancer resistance protein (BCRP) inhibitors (eg, cyclosporine, eltrombopag)
10.Subject is receiving treatment with any of the following drugs or interventions within the corresponding timeframe:
-At Day 1
oCYP2C8 inhibitors (eg, gemfibrozil or clopidogrel) and inducers (eg, rifampicin)
-Two weeks prior to Pre-baseline
oMonoamine oxidase inhibitors (eg, selegiline, phenelzine)
Exclusions Related to Laboratory Results:
11.Subject has ECG results showing any clinically significant abnormality on the last ECG of the previous study
12.Liver function impairment or persisting elevations of aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 5 x upper limit of normal (ULN)
13.Subject has a forced expiratory volume (FEV1) at 1 second or forced vital capacity (FVC) < 50% of predicted values.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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